ArticleAnnals of surgical treatment and research2016
Clinical outcomes of subtotal cholecystectomy performed for difficult cholecystectomy.
Article in Annals of surgical treatment and research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review on laparoscopic subtotal cholecystectomy for difficult gallbladders: a lifesaving bailout or an incomplete operation?Annals of the Royal College of Surgeons of England · 2024Pooled it
- Subtotal cholecystectomy for difficult acute cholecystitis: how to finalize safely by laparoscopy-a systematic review.World journal of emergency surgery : WJES · 2021Pooled it
- Recurrent Acute Calculous Cholecystitis in a Retained Gallbladder Remnant: A Case Report.Cureus · 2026Article
- Laparoscopic subtotal cholecystectomy for difficult gallbladder management: A single-center study.Bioinformation · 2026Article
- Usefulness of intraoperative choledochoscopy in laparoscopic subtotal cholecystectomy for severe cholecystitis.Annals of hepato-biliary-pancreatic surgery · 2025Article
- Laparoscopic Subtotal Cholecystectomy for Difficult Gallbladders: Single-Center Retrospective Cohort Study.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2025Article
- Subtotal cholecystectomy: is it a safe option for difficult gall bladders?Annals of the Royal College of Surgeons of England · 2023Article
- Review of the Literature on Partial Resections of the Gallbladder, 1898-2022: The Outline of the Conception of Subtotal Cholecystectomy and a Suggestion to Use the Terms 'Subtotal Open-Tract Cholecystectomy' and 'Subtotal Closed-Tract Cholecystectomy'.Journal of clinical medicine · 2023Review
- Subtotal Cholecystectomy Results in High Peri-operative Morbidity and Its Risk-Profile Should be Emphasised During Consent.World journal of surgery · 2022Article
- Laparoscopic subtotal reconstituting cholecystectomy in type II & III Mirizzi syndrome: Case series of 5 patients.International journal of surgery case reports · 2022Article
- Comparison of Fenestrating and Reconstituting Subtotal Cholecystectomy Techniques in Difficult Cholecystectomy.Cureus · 2022Article
- The impact of the COVID-19 pandemic on elective laparoscopic cholecystectomy: A retrospective Cohort study.Frontiers in surgery · 2022Article
- Less is more in the difficult gallbladder: recent evolution of subtotal cholecystectomy in a single HPB unit.Surgical endoscopy · 2021Article
- Laparoscopic subtotal cholecystectomy: comparison of reconstituting and fenestrating techniques.Surgical endoscopy · 2021Article
- Residual gall bladder: An emerging disease after safe cholecystectomy.Annals of hepato-biliary-pancreatic surgery · 2019Article
- Retained gallbladder secondary to retrieval bag rupture during laparoscopic cholecystectomy-A case report.International journal of surgery case reports · 2019Article
- Is a difficult gallbladder worth removing in its entirety? - Outcomes of subtotal cholecystectomy.Journal of minimal access surgeryArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLaparoscopic subtotal cholecystectomy (LSC) can be an alternative surgical technique for difficult cholecystectomies. Surgeons performing LSC sometimes leave the posterior wall of the gallbladder (GB) to shorten the operation time and avoid liver injury. However, leaving the inflamed posterior GB wall is a major concern. In this study, we evaluated the clinical outcomes of standard laparoscopic cholecystectomy (SLC), LSC, and LSC removing only anterior wall of the GB (LSCA).
methodsWe retrospectively reviewed the medical records of laparoscopic cholecystectomies performed between January 2006 to December 2015 and analyzed the outcomes of SLC, LSC, and LSCA.
resultsA total of 1,037 patients underwent SLC. 22 patients underwent LSC; and 27 patients underwent LSCA. The mean operating times of SLC, LSC, and LSCA were 41, 74, and 68 minutes, respectively (P < 0.01). Blood loss was 5, 45, and 33 mL (P < 0.05). The mean lengths of postoperative hospitalization were 3.4, 5.4, and 5.8 days. Complications occurred in 24 SLC patients (2.3%), 2 LSC patients (9%), and 1 LSCA patient (3.7%). There was no mortality among the LSC and LSCA patients.
conclusionLSC and LSCA are safe and feasible alternatives for difficult cholecystectomies. These procedures help surgeons avoid bile duct injury and conversion to laparotomy. LSCA has the benefits of shorter operation time and less bleeding compared to LSC.
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